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BMC Oral Health
Published in: BMC Oral Health 1/2013

Open Access 01-12-2013 | Research article

Association between diabetes-related factors and clinical periodontal parameters in type-2 diabetes mellitus

Authors: Eun-Kyong Kim, Sang Gyu Lee, Youn-Hee Choi, Kyu-Chang Won, Jun Sung Moon, Anwar T Merchant, Hee-Kyung Lee

Published in: BMC Oral Health | Issue 1/2013

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Abstract

Background

Evidence consistently shows that diabetes is a risk factor for increased prevalence of gingivitis and periodontitis. But there is a controversy about the relationship between diabetes related factors and periodontal health. The aim of the present study is to explore the relationship between diabetes related factors such as glycosylated hemoglobin, fasting blood glucose, duration of diabetes and compliance to diabetes self management and periodontal health status.

Methods

Periodontal health of 125 participants with type-2 diabetes mellitus was measured by the number of missing teeth, community periodontal index (CPI), Russell’s periodontal index and papillary bleeding index. Information on sociodemographic factors, oral hygiene behavior, duration and compliance to self management of diabetes, levels of glycosylated hemoglobin(HbA1c) and fasting blood glucose(FBG) were collected by interview and hospital medical records. Statistically, independent t-test, an analysis of variance (ANOVA), chi-squared test and multiple regression analyses were used to assess the association between diabetes-related factors and periodontal health.

Results

Periodontal parameters including the number of missing teeth and papillary bleeding index were significantly influenced by duration of diabetes, FBG and compliance to self management of diabetes. CPI was significantly influenced by duration of diabetes, FBG and HbA1C. And Russell’s periodontal index was significantly influenced by duration of diabetes, FBG, HbA1C and compliance to self management of diabetes. Results of multiple linear regression analysis showed that the duration of diabetes showed significant positive correlation with all of the periodontal health parameters, except for missing teeth. HbA1c was correlated with Russell's periodontal and papillary bleeding index. FBG and compliance to self management of diabetes were correlated with missing teeth and papillary bleeding index respectively.

Conclusions

Diabetes-related factors such as duration of diabetes, FBG, HbA1c and compliance to self management of diabetes were significantly correlated with periodontal health among individuals with type-2 diabetes.
Appendix
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Literature
1.
Armitage GC: Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999, 4: 1-6. 10.1902/annals.1999.4.1.1.CrossRefPubMed
2.
Oliver RC, Brown LJ, Löe H: Periodontal diseases in the United States population. J Periodontol. 1998, 69 (2): 269-278. 10.1902/jop.1998.69.2.269.CrossRefPubMed
3.
Research institute for dental care policy and dental practice management: The oral health status of Korea (2010). 2010, 475-
4.
O’Dowd LK, Durham J, McCracken GI, Preshaw PM: Patients’ experiences of the impact of periodontal disease. J Clin Periodontol. 2010, 37: 334-339. 10.1111/j.1600-051X.2010.01545.x.CrossRefPubMed
5.
Chavarry NGM, Vettore MV, Sansone C, Sheiham A: The relationship between diabetes mellitus and destructive periodontal disease: a meta-analysis. Oral Health Prev Dent. 2009, 7 (2): 107-127.PubMed
6.
Khader YS, Dauod AS, El-Qaderi SS, Alkafajei A, Batayha WQ: Periodontal status of diabetics compared with nondiabetics: a meta-analysis. J Diabetes Complicat. 2006, 20: 59-68. 10.1016/j.jdiacomp.2005.05.006.CrossRefPubMed
7.
Marigo L, Cerreto R, Giuliani M, Somma F, Lajolo C, Cordaro M: Diabetes mellitus: biochemical, histological and microbiological aspects in periodontal disease. Eur Rev Med Pharmacol Sci. 2011, 15 (7): 751-758.PubMed
8.
Taylor GW, Borgnakke WS: Periodontal disease: associations with diabetes, glycemic control and complications. Oral Dis. 2008, 14 (3): 191-203. 10.1111/j.1601-0825.2008.01442.x.CrossRefPubMed
9.
Rees TD: Periodontal management of the patient with diabetes mellitus. Periodontol. 2000, 23 (1): 63-72. 10.1034/j.1600-0757.2000.2230105.x.CrossRef
10.
11.
The department of health and welfare: 2009 National health and nutrition survey overview. 2009, 50-
12.
Yong Jun C, Hyeon Chang K, Hee Man K, Seok Won P, Jongoh K, Dae Jung K: Prevalence and management of diabetes in Korean adults. Diabetes Care. 2009, 32 (11): 2016-2020. 10.2337/dc08-2228.CrossRef
13.
Tsai C, Hayes C, Taylor GW: Glycemic control of type 2 diabetes and severe periodontal disease in the US adult population. Community Dent Oral Epidemiol. 2002, 30: 182-192. 10.1034/j.1600-0528.2002.300304.x.CrossRefPubMed
14.
Soskolne WA: Epidemiological and clinical aspects of periodontal disease indiabetics. Ann Periodontol. 1998, 3: 3-12. 10.1902/annals.1998.3.1.3.CrossRefPubMed
15.
Almas K, Al-Qahtani M, Al-Yami M, Khan N: The relationship between periodontal disease and blood glucose level among type 2 diabetic patients. J Contemp Dent Pract. 2001, 4: 18-25.
16.
Sandberg GE, Sundberg HE, Fjellstrom CA, Wikblad KF: Type 2 diabetes and oral health: a comparison between diabetic and non-diabetic subjects. Diabetes Res Clin Pract. 2000, 50 (1): 27-34. 10.1016/S0168-8227(00)00159-5.CrossRefPubMed
17.
Rajhans NS, Kohad RM, Chaudhari VG, Mhaske NH: A clinical study of the relationship between diabetes mellitus and periodontal disease. J Indian Soc Periodontol. 2011, 15 (4): 388-392. 10.4103/0972-124X.92576.CrossRefPubMedPubMedCentral
18.
Khader YS, Albashaireh ZSM, Hammad MM: Periodontal status of type 2 diabetics compared with nondiabetics in north Jordan. East Mediterr Health J. 2008, 14: 654-661.PubMed
19.
Pathak AK, Shakya VK, Chandra A, Goel K: Association between diabetes mellitus and periodontal status in north Indian adults. Eur J Gen Dent. 2013, 2: 58-61. 10.4103/2278-9626.106815.CrossRef
20.
Syrjälä A-MH, Kneckt MC, Knuuttila MLE: Dental self-efficacy as a determinant to oral health behaviour, oral hygiene and HbA1c level among diabetic patients. J Clin Periodontol. 1999, 26: 616-621. 10.1034/j.1600-051X.1999.260909.x.CrossRefPubMed
21.
Fischer R, Hackl P, Moser F, Schuh E: Description and results of a training plan for the use of the Russel-Index for an epidemiological study. Osterr Z Stomatol. 1974, 71: 449-458.PubMed
22.
Saxer UP, Muhlemann HR: Motivation and education. SSO Schweiz Monatsschr Zahnheilkd. 1975, 85 (9): 905-919.PubMed
23.
Ainamo J, Barmes D, Beagrie G, Cutress T, Martin J, Sardo-Infirri J: Development of the World Health Organization(WHO) community periodontal index of treatment needs (CPITN). IntDent J. 1982, 32: 281-291.
24.
Park OJ: The effect of social support on compliance with sick role behaviors in diabetic patients. 1984, Doctoral Dissertation of Yonsei University, 38-39.
25.
Hong Park O-C, So MS, Jang HS, Sung K: The effect of patient teaching on compliance with sick role behavior of diabetic patients. J Korean Acad Nurs. 1988, 18 (3): 281-288.
26.
Kneckt MC, Syrjälä AM, Laukkanen P, Knuuttila ML: Self-efficacy as a common variable in oral health behavior and diabetes adherence. Eur J Oral Sci. 1999, 107 (2): 89-96. 10.1046/j.0909-8836.1999.eos107203.x.CrossRefPubMed
27.
Roos L, Kenneth AE, Savage A: Methodological issues issues in epidemiological studies of periodontitis - how can it be improved?. BMC Oral Health. 2010, 10: 8-10.1186/1472-6831-10-8. doi: 10.1186/1472-6831-10-8CrossRef
28.
Christgau M, Palitzsch KD, Schmalz G, Kreiner U, Frenzel S: Healing response to non-surgical periodontal therapy in patients with diabetes mellitus: clinical, microbiological and immunologic results. J Clin Periodontol. 1998, 25 (2): 112-124. 10.1111/j.1600-051X.1998.tb02417.x.CrossRefPubMed
29.
Westfelt E, Rylander H, Blohme G, Jonasson P, Lindhe J: The effect of periodontal therapy in diabetics: results after 5 years. J Clin Periodontol. 1996, 23: 92-100. 10.1111/j.1600-051X.1996.tb00540.x.CrossRefPubMed
30.
Campus G, Salem A, Uzzau S, Baldoni E, Tonolo G: Diabetes and periodontal disease: a case–control study. J Periodontol. 2005, 76 (3): 418-425. 10.1902/jop.2005.76.3.418.CrossRefPubMed
31.
McDowell L, Newell C: Measuring health, a guide to rating scales and questionnaires. 1987, New York: Oxford University Press
32.
Moon EJ, Jo YE, Park TC, Kim YK, Jung SH, Kim HJ, Kim DJ, Chung YS, Lee KW: Clinical characteristics and direct medical costs of type 2 diabetic patients. Korean Diabetes J. 2008, 32: 358-365. 10.4093/kdj.2008.32.4.358. 25:112-124CrossRef
Metadata
Title
Association between diabetes-related factors and clinical periodontal parameters in type-2 diabetes mellitus
Authors
Eun-Kyong Kim
Sang Gyu Lee
Youn-Hee Choi
Kyu-Chang Won
Jun Sung Moon
Anwar T Merchant
Hee-Kyung Lee
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2013
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/1472-6831-13-64

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